How much rates vary
Facilitymedian $1,549 · 10th to 90th $646 to $41,687Professionalmedian $1,698 · 10th to 90th $1,148 to $6,166
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,288.25 Median $8,128.31 Typical High $19,054.61 | Facility | None | $1,288.25 | $8,128.31 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,258.93 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $13,803.84 Typical High $25,118.86 | Facility | None | $7,244.36 | $13,803.84 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $5,011.87 | Professional | None | $1,659.59 | $1,949.84 | $5,011.87 |
Blue Shield Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $100.00 | Facility | None | $48.98 | $79.43 | $100.00 |
Blue Shield Setting Professional Modifier None Typical Low $1,023.29 Median $1,445.44 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,445.44 | $2,818.38 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,230.27 | $1,513.56 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $10,000.00 | Facility | None | $660.69 | $1,412.54 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,445.44 Typical High $3,715.35 | Professional | None | $1,202.26 | $1,445.44 | $3,715.35 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,412.54 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $3,630.78 | Professional | None | $1,230.27 | $1,513.56 | $3,630.78 |
Lucent Health Setting Professional Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $12,022.64 | Professional | None | $12,022.64 | $12,022.64 | $12,022.64 |
Molina Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Providence Setting Facility Modifier None Typical Low $851.14 Median $151,356.12 Typical High $251,188.64 | Facility | None | $851.14 | $151,356.12 | $251,188.64 |
Providence Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $3,715.35 | Professional | None | $1,202.26 | $1,412.54 | $3,715.35 |
Sutter Health Plus Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None | $4,168.69 | $4,168.69 | $4,168.69 |
United Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $6,918.31 | Facility | None | $630.96 | $758.58 | $6,918.31 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,513.56 Typical High $4,073.80 | Professional | None | $1,071.52 | $1,513.56 | $4,073.80 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $588.84 Median $616.60 Typical High $741.31 | Professional | 52 · Reduced service | $588.84 | $616.60 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | 53 · Discontinued | $234.42 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $933.25 Typical High $1,122.02 | Professional | 54 · Surgery only | $870.96 | $933.25 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $186.21 Typical High $223.87 | Professional | 55 · Aftercare only | $173.78 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $125.89 Typical High $147.91 | Professional | 56 · Pre-op care only | $117.49 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $870.96 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $812.83 | $870.96 | $1,047.13 |
Where California sits
The same service costs 5.0 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 32nd of 51
$1,698
AK $5,248TX $1,047
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.